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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification - 3 4A6..)4 p A <br /> Garage Size Overlay/Agreement <br /> VALUATION 50 e, Nonresidential Use <br /> No. of Stories Residential Use Mj\akt \115 <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_. No <br /> Exstg Sprinkler System? Yes No Unk Plannifigg Inspector: <br /> Fire Sprink Reqd? Yes No Phone#: <br /> Reason Approved by: �I -) Date: LA4S1j(% <br /> Exstg Fire Alarm? Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes No #of Net New Units: <br /> Approved by: Date: f/1��`l Calculated School Impact Fee: <br /> Comments: /Z /EC- School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> \o\ \Q(: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Req red? Yes No <br /> Building Permit Reviewer: 1.' Date: .5"--3---2d6 <br /> Surcharge Comments: <br /> Additional Plan Check fu v PCO (� ,,_�iZ1Z <br /> Water 1 v�. �3�� <br /> Sewer 7 <br /> Systems Dev. Due? Yes No ! ""> <br /> � <br /> Systems Dev. Fees <br /> Public Works r,4`r, t . <br /> Traffic Mitigation Due? Yes No �� " <br /> School Mitigation Fee <br /> a1z <br />